Active NPI
Dawn Marie Cohen, LCSW
- Clinical Social Worker
- Clermont, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW14687
- Practice address
- 205 Hatteras Ave
Clermont, FL 34711-6502 - Phone
- (352) 348-8858
- NPI assigned
- Sep 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | SW14687 | FL | Primary |
Addresses
Primary practice location
205 Hatteras Ave
Clermont, FL 34711-6502
Mailing address
4300 S Highway 27 Ste 205C
Clermont, FL 34711-8067
Phone (352) 348-8858
Other practice location 1
1009 Maitland Center Commons Blvd
#212
Maitland, FL 32751-7270
Phone (407) 636-3532
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021780300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15930 US Hwy 441
Suite D
Eustis, FL 32726-6552
Phone (352) 978-6687
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW14687 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shining Light Counseling | Clinical | Current | Accepting new patients |
Locations
365 Citrus Tower Blvd
Ste 108
Clermont, FL 34711
Phone (352) 978-6687
15930 US Highway 441
Ste D
Eustis, FL 32726
Phone (352) 978-6687
4400 N Highway 19A
Ste 5
Mount Dora, FL 32757
Phone (352) 315-7800
820 S Duncan Dr
Tavares, FL 32778
Phone (352) 357-1955
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574726400000",
"number": "1740439785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 S HIGHWAY 27 STE 205C",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347118067",
"telephone_number": "352-348-8858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 HATTERAS AVE",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347116502",
"telephone_number": "352-348-8858"
}
],
"practiceLocations": [
{
"address_1": "1009 Maitland Center Commons Blvd",
"address_2": "#212",
"address_purpose": "LOCATION",
"city": "Maitland",
"state": "FL",
"postal_code": "327517270",
"country_code": "US",
"telephone_number": "407-636-3532",
"fax_number": "321-256-5292",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COHEN",
"first_name": "DAWN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-15",
"last_updated": "2019-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW14687",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021780300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.